P Praxis·MD
● Active Type 1 · Individual

Michael David Carroll, M.D.

Radiology·Boise, ID· NPI 1639306566 · Enumerated 2009 · 16 years on NPI
Carroll is 1 of 91 radiology providers in Boise and 1 of 248 in Idaho.
NPI age
16 years
Enumerated 2009-06-18
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
ID, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-01-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 248 active radiology providers in Idaho.

NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-06Enumerated in NPPES
2009 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 2083812094fax 2083811791
Mailing address
Po Box 1108
Corvallis, OR 973391108
📞 2083812094fax 2083811791

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    ID license #M-12823IL license #125.056520 taxonomy 2085R0202X

Practice context

Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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